Organization
PRESTIGE RESIDENTIAL HOME LLC
Active
Organization
PRESTIGE RESIDENTIAL HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDER B ASIEDU (ADMINISTRATOR)
(914) 417-0214
Entity
Organization
Contact information
Practice address
22367 E DESERT SPOON DR, QUEEN CREEK, AZ 85142-1235
(480) 307-9984
Mailing address
22367 E DESERT SPOON DR, QUEEN CREEK, AZ 85142-1235
(480) 307-9984
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/29/2022
Last updated
03/29/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up